Organization
PROSTHETIC LABORATORIES OF ROCHESTER, INC.
Active
Parent organization
GMS OF ROCHESTER, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
GMS OF ROCHESTER, INC.
Authorized official
BRIAN GREEN (CEO)
(507) 281-5250
Entity
Organization
Contact information
Practice address
831 CRITTER CT, SUITE 300, ONALASKA, WI 54650-8674
(608) 783-2009
(608) 781-2128
Mailing address
831 CRITTER CT, SUITE 300, ONALASKA, WI 54650-8674
(608) 783-2009
(608) 781-2128
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164685475
—
MN
05
—
41794100
—
WI
Enumeration date
07/07/2008
Last updated
07/03/2012
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